NURS 327: Chapter 45 SATA Questions
While stripping wax from surfboards, a client accidental ingested a refrigerated strong base cleaning solution, thinking it was water. What would the nurse include in this clients care plan? SATA.
-Administer medication for report of pain -Insert an IV catheter for IV fluid administration -Maintain NPO status -Assess respiratory status q4hrs and PRN
A client experienced surgical resection of a tumor of the esophagus. After recovery from anesthesia, what will the nurse include in the postoperative care plans? SATA.
-Assess lung sounds q4hrs and PRN -Monitor drainage in the closed chest drainage system -Verify rhythm on the cardiac monitoring system
Health teaching for a pt with GERD is directed toward decreasing lower esophageal sphincter pressure and irritation. The nurse instructs the patient to do which of the following? SATA.
-Avoid beer especially at bedtime -Elevate the HOB on 6 to 8 in blocks -Elevate the upper body on pillows
The nurse is caring for a client receiving chemotherapy. For which mouth conditions associated with HIV infection should the nurse assess? SATA.
-Kaposi sarcoma -Stomatitis
Which of the following is a proton pump inhibitor used in the tx of GERD? SATA.
-Lansoprazole (prevacid) -Rabeprazole (apihex) -Esomeprazole (nexium)
Which of the following are functions of saliva? SATA.
-Lubrication -Protection against harmful bacteria -Digestion
A nurse is providing ed to a client with GERD. The client asks what measures can be taken independently to help reduce the symptoms. Which interventions would the nurse recommend? SATA.
-Maintaining an upright position following meals -Avoiding foods that intensify symptoms
The nurse is creating a discharge teaching plan for a client after surgery for oral cancer. Which should be included in the teaching plan? SATA.
-Oral hygiene -Followup dental appointment -Follow up medical appointment -Use of humidification
A nurse is caring for a client in the late stages of esophageal cancer. The nurse should plan to prevent or address what characteristics of this stage of the disease? SATA.
-Perforation into the mediastinum -Erosion into the great vessels -Obstruction of the esophagus
Tube feedings are advised for a client who is recovering from oral surgery. The nurse manages the tube feedings to minimize the risk of aspiration. Which measures should the nurse include in the care plans to reduce risk of aspiration? SATA.
-Place the pt in semi fowlers position during and 30-60 mins after intermittent feeding -Check tube placement and gastric residual prior to feedings
The nurse is reviewing the chart of a client with swallowing problems. Which factors would raise suspicion that the client has cancer of the esophagus? SATA.
-Smoking history of 20 years -Male gender -Previous treatment for GERD
